Individual provider · Type 1 NPI

Jisoon Kim, MD

Student in an Organized Health Care Education/Training Program · Oak Lawn, IL

NPI number 1598024937 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Mailing address

5841 S Maryland Ave
Chicago, IL 60637-1447

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598024937

Jisoon Kim, MD's National Provider Identifier is 1598024937, issued on May 4, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Lawn, IL. The record was last updated on Jan 27, 2016.